Provider Demographics
NPI:1396109930
Name:KARN, KATHLEEN JANSEN (MS CCC-A/SLP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JANSEN
Last Name:KARN
Suffix:
Gender:F
Credentials:MS CCC-A/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1894 MULBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1324
Mailing Address - Country:US
Mailing Address - Phone:215-491-2714
Mailing Address - Fax:
Practice Address - Street 1:1894 MULBERRY LN
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1324
Practice Address - Country:US
Practice Address - Phone:215-491-2714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2016-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004239L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist